• Title/Summary/Keyword: abscess formation

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Extralobar Pulmonary Sequestration -A cases Report- (외엽형 폐격리증 1례 보고)

  • 홍종완
    • Journal of Chest Surgery
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    • v.21 no.4
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    • pp.793-796
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    • 1988
  • Pulmonary sequestration is an unusual congenital malformation characterized by the presence of nonfunctioning lung tissue which usually has no communication with the normal bronchial tree and receives its blood supply from an anomalous systemic artery. We present a case of extralobar pulmonary sequestration experienced recently. The patient was 13 month old female with a complaint of fever, coughing and tachypnea. Chest film showed large homogeneous opacity in left lower lung field. At operation, a homogeneous mass was located between the left upper lobe and lower lobe, measuring 4X6X5cm in dimension. The aberrant artery was originated from the descending thoracic aorta, 1 cm in length and 3 mm in diameter. After division and ligation of the aberrant artery, sequestrectomy and lingular segmentectomy was done due to abscess formation. The postoperative course was smooth. She was discharged on postoperative thirteenth day.

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Chronic Infection and Nodule Formation following Deoxycholate Injection

  • Shahid, Shahab;Al-Hassani, Fawaz
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.315-318
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    • 2022
  • Aqualyx (Marllor International Ltd, Rimini, Italy) was originally developed in Italy by Professor Pasquale Motolese and has been commercially available since 2009. It is a deoxycholate, aqueous gelatinous solution mixed with saline and buffering compounds. It is the only drug approved by the European Union for the reduction in localized fat. Aqualyx is sold exclusively to doctors and nurses trained in intralipotherapy. In the case of our patient, the product administered was advertised as Aqualyx, but was not administered by a trained health professional and was administered too superficially. The patient developed severe pain following the injection and was unable to sit for several weeks. There was localized skin necrosis, and palpable collections where the injection was administered. Our initial suspicion was development of an abscess or hematoma. To characterize further, we arranged an ultrasound scan that showed a "superficial hypoechoic lesion" but no deeper infection or spread. The numerous painful nodules ruptured onto the skin surface, resulting in purulent and bleeding lesions. This case demonstrates the importance of appropriate training and competence in performing cosmetic procedures including injections and fat dissolving treatments.

Very large haematoma following the nonoperative management of a blunt splenic injury in a patient with preexisting liver cirrhosis: a case report

  • Jeong, Euisung;Jo, Younggoun;Park, Yunchul;Kim, Jungchul;Jang, Hyunseok;Lee, Naa
    • Journal of Trauma and Injury
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    • v.35 no.1
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    • pp.66-70
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    • 2022
  • The spleen is the most commonly injured organ after blunt abdominal trauma. Nonoperative management (NOM) is the standard treatment for blunt splenic injuries in haemodynamically stable patients without peritonitis. Complications of NOM include rebleeding, new pseudoaneurysm formation, splenic abscess, and symptomatic splenic infarction. These complications hinder the NOM of patients with blunt splenic injuries. We report a case in which a large haemorrhagic fluid collection that occurred after angio-embolisation was resolved by percutaneous drainage in a patient with liver cirrhosis who experienced a blunt spleen injury.

Reconstruction with Fibular Free Flap of Fibrous Dysplasia of Mandible (비골 유리 피판 재건술을 이용한 하악골 섬유성 이형성증 1예)

  • Sun Dong-Il;Son Dong-Hwa;Cho Seung-Ho;Kim Min-Sik
    • Korean Journal of Head & Neck Oncology
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    • v.20 no.1
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    • pp.29-32
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    • 2004
  • Fibrous dysplasia of the mandible is an unusual manifestation of the disease that is usually benign, occurs in young individuals, and is managed by conservative curettage or debridement. We present a case of persistent fibrous dysplasia complicated by pain and abscess formation that was successfully managed by radical resection and reconstruction with a free fibular flap. Although mandibular fibrous dysplasia is preferentially managed conservatively, treatment of this disease has evolved to a point where total excision and immediate reconstruction may be the treatment of choice and offer the best outcome.

A Case of Wooden Foreign Body Misinterpreted as Facial Abscess and Osteitis (안면부 농양 및 골염으로 오인된 나무 이물 1례)

  • Kim Eun-Seo;Kim Young-Chul;Kim Sok-Chon;Hong Seok-Chan
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.2
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    • pp.235-237
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    • 2000
  • It is difficult to find the penetrating foreign bodies in the head and neck area only with history taking and physical examinations. One of the most important things is to detect the precise location of foreign bodies or possibly remained materials. The detection of wooden foreign bodies is important because they can cause phlegmon formation and because wood is often contaminated by Clostridium tetani bacteria. CT has proved to be an expedient method for detecting foreign bodies of various materials in soft tissues, but the wooden foreign body is often misinterpreted as a gas bubble in soft tissue. We have experienced a case of wooden foreign body which has penetrated through nasal dorsum and remained for 4 months. It had been initially misinterpreted as longstanding inflammatory lesion and osteitis of maxilla and nasal bone.

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Extraperiosteal Paraffine Plombage Thoracoplasty for Pulmonary Tuberculosis (폐결핵에 대한 골막외 파라핀 충전술)

  • Choi, Myong-Kil;Ree, Jong-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.1
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    • pp.73-78
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    • 1992
  • Background: From 1973 we performed EPPT for the 3,500 cases of the cavitary tuberculosis who were not responded well to the antimicrobial drugs, and we evaluated the 1,003 cases who could be followed up to more than 3 years postoperatively. Method: The key of the EPPT was that the 5-8 ribs of unilateral chest were denuded at the one stage operation and the paraffine was used as the plomb of filling the dead space out of the collapsed periosteums and intercostal muscles. Result and Conclusion: Number of patients who had unilateral EPPT was 759 and bilateral 244. The late complication were subscapular abscess (12) lump formation (42) and paraffine expectoration (26). All of those complications was cured after removal of the packed paraffine. Sputum conversion rates were 91.6% in the group with cavity less than 3 cm and 41.8% in the group with cavity bigger than 5cm.

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Eyeball deviation by orbital mucocele after midface sinus injury

  • Oh, Se Young;Choi, Ji Seon;Lim, Jin Soo;Kim, Min Cheol
    • Archives of Craniofacial Surgery
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    • v.21 no.1
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    • pp.53-57
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    • 2020
  • A mucocele is an epithelium-lined, mucus-filled cavity in the paranasal sinuses. Mucocele may develop due to scarring and obstruction of the sinus ostium caused by midface sinus trauma, such as orbital bone fracture or endoscopic sinus surgery. The authors report two cases of orbital mucocele as complications following midface sinus injury (endoscopic sinus surgery in one case, and orbital fracture repair in the other). In both cases, imaging studies showed a large orbital mucocele accompanied by bony erosion and orbital wall remodeling, compressing the ocular muscle. Using an open approach, the lesion was excised and marsupialized. The symptoms resolved, and the postoperative eyeball position was normal. Orbital mucocele may cause serious complications such as ocular symptoms, orbital cellulitis, osteomyelitis, and the formation of an abscess with the potential to invade the brain. Therefore, surgeons should consider the possibility of mucocele as a late complication of surgery and initiate an immediate work-up and surgical treatment if needed.

Infection of the temporomandibular joint: a report of three cases (턱관절에 발생한 감염에 대한 치험례)

  • Kim, Hyung-Mo;Kim, Tae-Wan;Hwang, Ju-Hong;Lee, Dong-Joo;Park, Na-Rae;Song, Seung-Il
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.6
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    • pp.510-514
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    • 2011
  • An intracapsular and pericapsular infection of the temporomandibular joint (TMJ) is rare. The invasion of bacteria into the joint space can occur through several routes. Among them, hematogenous spread is most common. This report describes three cases of abscess formation in the TMJ (intracapsular and pericapsular infection). The patients were treated with supportive care and surgical intervention (incision and drainage) under hospitalization, and their symptoms had improved. Pain of the TMJ is a typical symptom of temporomandibular joint disorders (TMD). On the other hand, an infection of the TMJ can also cause pain on the affected side, and can be misdiagnosed as routine TMD. Therefore, the possibility of an infection of the TMJ cavity should be considered when treating TMD.

Iliopsoas Pyomyositis Overlaping the Herniated Intervertebral Lumbar Disc Symptom -A case report- (요추 추간판 탈출증환자에서 동반된 장요근 화농근육염 -증례보고-)

  • Lee, Eun Kyeng;Son, Youn Sook;Joe, Hyun Sook;Kang, Jun Ku;Kim, Dae Young;Lee, Sang Mook
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.278-281
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    • 2006
  • The diagnosis of pyomyositis in the pelvic region is difficult, as its incidence is relatively, with symptoms that mimic those of discogenic pain. Sciatica is a common presentation of a prolapsed lumbar disc. Less common causes, such as spinal stenosis, pelvic tumors or even primary nerve tumors can also cause these symptoms. Magnetic resonance imaging (MRI) is a useful diagnostic tool. Herein, the case of a patient with an acute pyogenic infection in the iliopsoas muscle, presenting with sciatica, is reported. This is a rare infective disease, which if promptly treated with intravenous antibiotics, can be completely resolved; otherwise, it can result in deep abscess formation, sepsis and death.

Cervical Epidural Block Can Relieve Persistent Hiccups -Case report- (경부 경막외 신경차단을 이용한 2주간 계속된 딸꾹질의 치료 경험 -증례보고-)

  • Lee, Kyung-Jin;Park, Won-Sun;Chun, Tae-Wan;Kim, Chan;Nam, Yong-Taek
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.131-134
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    • 1995
  • Hiccup is characterized by a myoclonus in the diaphragm, resulting in a sudden inspiration associated with an audible closure of the glottis. The reflex arc in hiccups comprises three pars: an afferent, a central and an efferent part. The afferent portion of the neural pathway of hiccup formation is composed of the vagus nerve, the phrenic nerve, and the sympathetic chain arising from T6 to T12. The hiccup center is localised in the brain stem and the efferent limb comprises phrenic pathways. All stimuli affecting the above mentioned reflex arc may produce hiccups. The pathogenesis of persistent hiccups is not known. Hiccup can present a symptom of a subphrenic abscess or gastric distention, and metabolic alterations may also cause hiccups. Numerous treatment modalities have been tried but with questionable success. We describe a patient whose persistant hiccups was treated successfully by a cervical epidural block.

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